Individual provider · Type 1 NPI

Theresa Irene Desantis, PhD

Clinical Psychologist · Farmingdale, NY

NPI number 1194883884 Active

Practice location

1111 Broadhollow Rd, Suite 204
Farmingdale, NY 11735-4820

Call (631) 414-7181 Map

Fax (631) 414-7178

Mailing address

32 Sally Ln
Plainview, NY 11803-1434

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1194883884

Theresa Irene Desantis, PhD's National Provider Identifier is 1194883884, issued on Dec 5, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Farmingdale, NY. The record was last updated on Jul 8, 2007.